Counseling Psychology Program, University of Miami, Coral Gables, FL, USA.
Department of Health Promotion and Disease Prevention, Florida International University, Miami, FL, USA.
J Clin Psychol Med Settings. 2021 Mar;28(1):191-199. doi: 10.1007/s10880-020-09701-z.
This study examined social support, perceived relationship power, and knowledge of HIV+ serostatus in relation to frequency of unprotected sex acts and number of partners among women with comorbid psychiatric illness receiving treatment. Data were drawn from an initial assessment of participants enrolled in an HIV risk reduction intervention (N = 284), and two generalized linear models were used to examine the potential associations. Relationship power was significantly associated with fewer unprotected sex acts. This relationship was stronger among those with greater social support. Knowledge of HIV+ serostatus was linked with fewer sexual partners and less unprotected sex. Findings also revealed that the protective nature of support varies by level of perceived relationship power, with higher power indicative of a stronger protective relationship. Study findings suggest that the potential protective benefits of social support may depend on one's perceived relationship power. Implications for HIV prevention intervention for this at-risk group are discussed.
本研究考察了社会支持、感知关系权力以及对 HIV+ 血清阳性状态的了解，与接受治疗的患有共病精神疾病的女性发生无保护性行为的频率和性伴侣数量之间的关系。数据来自于一项对参加 HIV 风险降低干预措施的参与者的初始评估（N=284），并使用两个广义线性模型来检验潜在的关联。关系权力与较少的无保护性行为显著相关。在那些拥有更多社会支持的人当中，这种关系更为强烈。对 HIV+ 血清阳性状态的了解与较少的性伴侣和较少的无保护性行为有关。研究结果还表明，支持的保护性质因感知关系权力的水平而异，权力越高，保护关系越强。研究结果表明，社会支持的潜在保护益处可能取决于一个人感知到的关系权力。讨论了针对这一高危人群的 HIV 预防干预措施的意义。
